9n safety falls pilot sss guide
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9N Safety/Falls Pilot – SSS guide . Falls/Safety Documentation Changes – Why change?. Changing focus from repetitive screening for Falls Risk to a model that supports Falls Prevention

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9N Safety/Falls Pilot – SSS guide

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9n safety falls pilot sss guide

9N Safety/Falls Pilot – SSS guide


Falls safety documentation changes why change

Falls/Safety Documentation Changes – Why change?

  • Changing focus from repetitive screening for Falls Risk to a model that supports Falls Prevention

  • Historically for each new issue addressed, we’ve added a new section or Tab to HED – not sustainable and adds complexity to documentation

  • Framework developed to identify and address all safety risks efficiently


Pilot 9n september 18 th

Pilot: 9N September 18th

  • Pilot focuses on:

    • Falls Risk portion of new Safety Build

    • Other New features that will be addressed:

    • Role/Communication documentation

    • Changes in documentation of Patient/Family education & engagement

    • Changes in Restraint, CIWA, and some other safety-related documentation


Training

TRAINING

  • RNs complete hands-on check off on documentation and workflow associated with new Falls/Safety HED build

    Practice Scenario:

    • Determine the Morse Falls Risk Score

  • Identify safety risk factors and safety problems ; Start Safety or Restraints Priority Problem, if warranted

  • Document, Care Interventions, Patient/Family Teaching, and any Notifications & Care Coordination

  • Document shift goals/outcomes for Safety Priority Problems & response to safety interventions


  • Safety risk assessment tab

    Safety Risk Assessment Tab

    Safety Risk Assessment

    Safety Plan

    Response to Interventions

    1. Assess

    2. Care

    3. Educate

    4. Notify


    Morse falls risk screen

    Morse Falls Risk Screen


    Education tab

    Education Tab

    • Role Communication Section(caregiver contact info)- nurses to document caregivers contact info once and if any phone number changes

    • Education Categories – categorized in similar fashion to Priority Problems


    9n pilot what s changing

    9N Pilot: What’s Changing

    • Safety assessment on every patient every shift. Also

      • 9N: Morse Falls screen on admission & with change in status/condition (e.g. Transfer to different level of care, change in mental status, etc.)

      • 6A/B: PEWS screen documented q4h (will be moved from Falls/Safety Tab at conclusion of pilot before VCH-wide rollout)

    • Safety Problems(Injury Risk, Violence Risk, Substance Abuse, and others ) will be identified.

      • If they are a priority, also initiate this as a Priority Problem

    • Safety Interventions will be documented – things you:

      • Assess/Monitor/Evaluate/Observe

      • Care/Perform/Provide/Assist

      • Teach/Educate/Instruct/Supervise

      • Manage/Refer/Contact/Notify


    9n safety falls pilot sss guide

    9N Pilot: What’s Changing

    New Education Tab:

    • Caregivers’ contact information (“Care Contacts”) – will be documented in new Role/Communication section

    • Patient/Family Education & Engagement

    • Some other Safety documentation (eg. Restraints) streamlined.


    What s not changing

    What’s NOT Changing

    • Plan of Care documentation

      • Priority Problems – continue to create and evaluate goals

      • Pathway, Nursing Summary, and Plan Priorities documentation in HED

      • Continue to assign e-docs pathway

      • Education Record tab still visible for pilot until further discussion as to whether to blend the new Education tab with current one

    • Admission History documentation of substance screening and caregiver contact information will still be recorded until further evaluation with pilot


    What to do when

    What to Do & When

    • Admission

    • Morse Falls Risk screen

    • Safety assessment as part of head-to-toe assessment; Identify problems & Plan Interventions; Start Priority Problem if warranted

    • Beginning of Shift

    • Safety assessment; Identify problems & Plan Interventions

    • Document expected Short Term Goals for Safety Priority Problems

    • Start/End Safety Priority Problems if warranted

    • Document Short Term Goal Status or outcome for Priority Problems

    • Document Response to all Safety Interventions

    • End of Shift

    • Morse Falls Risk screen

    • Repeat other Safety Assessment & Revise Planned Interventions as appropriate

    • Condition/ Status Change


    9n safety falls pilot sss guide

    • Morse Falls Risk screen

    • Safety assessment as part of head-to-toe assessment; Identify problems & Plan Interventions; Start Priority Problem if warranted

    Admission

    • Click on HED Train tab and select the Safety Falls/ Risk tab

    • Locate and complete the Morse Falls Risk Section – bottom of screen

    • Complete Safety Risk Assessment


    9n safety falls pilot sss guide

    • Morse Falls Risk screen

    • Safety assessment as part of head-to-toe assessment; Identify problems & Plan Interventions; Start Priority Problem if warranted

    Admission

    • How would you assess the patient’s:

      • Ambulation aid

      • Gait

        Hover over boxes with HED Upgrade on many fields


    9n safety falls pilot sss guide

    • End of Shift

    • Start/End Safety Priority Problems if warranted

    • Document Short Term Goal Status or outcome for Priority Problems

    • Document Response to all Safety Interventions

    • Continue to document:

      • Nursing Summary, Plan Priorities, and Goal Status

    • Include from Safety/Falls tab end of shift documentation on:

      • Response to Safety Interventions


    9n safety falls pilot sss guide

    • Morse Falls Risk screen

    • Repeat other Safety Assessment & Revise Planned Interventions as appropriate

    • Condition/ Status Change

    • Re-Assessment of Morse Falls Risk Screen and Safety Assessment with:

      • Change in level of care (unit-to-unit)

      • Status Change

      • Fall or injury

      • Increased monitoring of patient’s condition due to status change


    9n go live sept 18 th

    9N Go Live – Sept 18th

    Day of go-live also

    New Safety/Fall Risk tab will replace the old Falls Risk section in assessment tabs

    New Education tab will appear- old Education Record tab will still be visible

    Restraints documentation moved from Restraints tab to Safety/Fall Risk tab

    Past data will be viewable for the Restraints tab, and Fall Risk section but will not contain charting boxes.

    CIWA tab released


    Training and implementation plan

    Training and Implementation Plan

    • Resources:

      • Super Users – in-staffing

      • Educator

      • Unit Resource Manual- contains issue

        log, pocket aides, staff& support

        schedule, and pocket aides

    • Implementation Support

      • SuperUsers

      • SSS/CAPS: 9a-5pm and 9pm to 5am, Sept. 18, 19, 20, 21st

      • Issues Log on unit


  • Login